About
Shirley Cayko, LCSW, is a licensed social worker in Montana with 18 years of professional experience. She focuses on helping people navigate stress, anxiety, trauma and abuse, self esteem concerns, and life changes. Her practice also addresses mood conditions such as depression and bipolar disorder and offers support around relationships, grief, anger, and challenges related to LGBT issues and gender dysphoria.
Her approach is individualized. She tailors conversation and treatment plans to the specific needs and goals presented by each person, drawing on trauma-focused methods and skills-based interventions when appropriate. She also works with concerns that intersect with health and life stage, including chronic illness, caregiving stress, aging or hospice-related matters, and the practical and emotional effects of cancer.
Cayko emphasizes respect, sensitivity, and compassion in her work. She invites those who are taking early steps toward therapy to acknowledge that beginning treatment takes courage and seeks to create a collaborative space where assessment and planning proceed at a pace suited to each individual.
Remote sessions with skills and trauma-informed care
Online work with Shirley blends collaborative, client-centered conversation with structured therapeutic tools. She often uses cognitive behavioral therapy to help identify and shift unhelpful thought patterns and behaviors, and she incorporates dialectical behavior therapy when clients need practical emotion-regulation and interpersonal skills. These approaches are framed in a way that connects to each person’s goals and daily life.
Mindfulness techniques and trauma-focused therapy are also part of the toolkit. Mindfulness supports present-moment awareness and stress management, while trauma-focused methods address the specific impacts of past traumatic events. Shirley aims to match techniques to what someone finds most useful, creating a plan together rather than imposing a single method.
Online sessions are available via video calls, phone sessions, live chat, or text-based messaging. Those formats allow for adaptable collaboration on goal setting, skill practice, and progress review while maintaining a steady therapeutic relationship.What is Shirley Cayko’s clinical experience?
She has 18 years of professional work experience as a clinician.
What are her credentials and license information?
Shirley holds the LCSW credential and is licensed in Montana as MT LCSW BBH-LCSW-LIC-803.
Which languages does she use in sessions?
Sessions are conducted in English.
Where is Shirley based?
She is licensed and practicing in Montana.
How can clients work with her remotely?
She offers video calls, phone sessions, live chat, and text-based messaging for remote work.
Does she accept clients outside the United States?
This profile indicates she does not accept international clients.
How much do sessions cost?
Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy with her?
To get started, use the Start Therapy button and complete a short matching questionnaire.